NPI 1013643147

Annette Dudley

Practitioner Nurse's Aide Saint Louis, MO

Practice location

Address: 7029 S Broadway, Saint Louis, MO 63111-3119
Phone: (314) 906-1936

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 2011079 (MO)

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Registry record

NPI: 1013643147
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2022
Record last updated: 30 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.